Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04686 | Date 12/04/2019 |
| Token No | SM/19-20/808 12/04/2019 | Serial | 045 Last Visit: 12/04/2019 |
| Patient Name | Mrs. RUBI MAITY | Contact No | |
| Address | G.T ROAD MARADAN, BAIDYABATI(M) | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||